HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEr
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772.462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY
St Lucie County
PERMIT #:1 (,o-bs79--JOB ADDRE S: 1/ (:5 r/
BUILDER/CONTRACTOR: _f''S-��v
PEST CONTROL CONTRACTOR: PRM427/ PEST CONTROL CONTROL LICENSE #:=T;7rR-73 cio
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards`of the National Pest Control Association.
Square feet if area treated: ZpZe_
Percentage of solution: - O 5111
Date of Treatment:5��
Footing
151 Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used:p/fiifr�/iDlil
Total gallons used: rd 64L
Time of Treatment: 7 Cd
Slab
rC ibt Treatment
Re -Treat
___Pools
1st Treatment
` Re -Treat
Perimet or Final Inspection
-�/(/// /
Signature of Extermina or D to
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the Inspector at time of each inspection or the scheduled Inspection w111 fall and a re-inspect/on
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
providing a copy for the person the permit Is issued to and another copy for the building permit files. The Treatment
Certificate shallprovide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatmentt if the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
D-4,-A 911A NM A